| NPI | 1578268934 |
|---|---|
| Doing Business As | LISA L COSTON MS LMHC |
| Entity Type | Organization |
| Authorized Contact | LISA LYNN COSTON Owner 765-714-0545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |